Individual ProviderChristine BukowskiSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address5606 S 147th St, Omaha, NE 68137-2648(402) 715-8200PECOS EnrollmentBased on the most recent information from CMS, provider Christine Bukowski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225581663Provider TypeIndividualFull NameBukowski, ChristineGenderFemaleSole ProprietorNoEnumeration Date8/2/2016Last Updated8/2/2016Contact InformationPractice LocationPractice Address5606 S 147th St, Omaha, NE 68137-2648Phone(402) 715-8200FaxUnlisted FaxMailing LocationMailing Address5606 S 147th St, Omaha, NE 68137-2648PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense2016005919NebraskaProvider IdentifiersIDDescriptionIssuerID2016005919DescriptionOtherIssuerNE STAFF ID: 2016005919Nebraska